Minnesota Administrative Rules
Agency 144 - Health Department
Chapter 4675 - OUTPATIENT SURGICAL CENTERS
Part 4675.0500 - MEDICAL STAFF
Current through Register Vol. 49, No. 27, December 30, 2024
The medical director and the medical staff are responsible to the governing body for patient and staff policies and for medical procedures and services relative to admission, treatment, and related emergency treatment. The medical staff shall:
A. Establish written policies for the admission and treatment of patients for surgery, including but not limited tosubitems (1) to (5).
B. Establish written policies for surgical procedures to be performed.
C. Establish written policies for the creation and maintenance of a program for infection control.
D. Provide for orientation and in-service programs for all center personnel as related to their activities, including medical emergency procedures.
E. Provide for emergency care procedures in the event of surgical complications.
F. Establish policies for transfer of patients needing hospital care.
G. Maintain medical records on each patient accepted for treatment. Each patient record shall include: the patient's name, address, and telephone number; the operating physician, admission and discharge notes and dates; a signed consent form; pertinent medical history; tests and examinations; admitting diagnosis; surgical procedure and anesthesia report; pathology report where indicated; patient aftercare instructions; prescribed medications; and other progress notes. Surgery-related or anesthesia-related complications which result in morbidity or mortality of a patient shall be recorded in detail. Patients' records shall be made available for inspection by the department and be preserved in accordance with Minnesota Statutes, sections 145.30 to 145.33.
H. Develop and maintain a system for professional peer review.
Statutory Authority: MS s 144.56